Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.74 / $136.74 / $136.74	Facility		$136.74	$136.74	$136.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $136.74 / $166.74	Professional		$98.32	$136.74	$166.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $276.20 / $379.59	Facility		$140.99	$276.20	$379.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $151.84 / $260.29	Professional		$140.99	$151.84	$260.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $252.71	Facility		$211.82	$211.82	$252.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $971.57	Professional		$154.63	$211.82	$971.57
United Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $170.99 / $280.39	Professional		$132.90	$170.99	$280.39